Health care service for families with children at early risk of developmental delay: an All Our Families cohort study

Russell, Matthew; Premji, Shainur; McDonald, Sheila; Zwicker, Jennifer; Tough, Suzanne

doi:10.1111/dmcn.14343

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…require a diagnosis before services are offered, early identification is key to accessing these services. As one possible solution to this issue, screening tools may increase early identification; 29 however, thoughts are mixed on screening tools and how to best use them. 30,31 In addition, relaxing the requirements for diagnosis and providing services when a demonstrable need is seen (i.e.…”

Section: Eligibilitymentioning

confidence: 99%

Use of family disability service by families with young children with disabilities

Russell

Cui

Tough

et al. 2020

Develop Med Child Neuro

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Aim To investigate which families with young children with disabilities used disability services and when they used services to inform policy on service delivery. Method We used linked administrative data from different ministries in Alberta to describe families’ use of disability services when their children were between the ages of 3 and 8 years old. Disability was investigated on the basis of the presence of a severe special education code for children, and level of special education code. The outcome was the use of family disability services. Results Of 31 346 children, 24 761 (79.0%) had no special education code, 3982 (12.7%) had a mild special education code, and 2603 (8.3%) had a severe special education code. Level of special education code was associated with child characteristics and service use. Children with severe special education codes generally were more likely to report service use and have poor outcomes than those with less severe codes. Of note, 26% of children with severe special education codes used family disability services. In addition, among children with severe special education codes, many years of severe coding (compared with fewer years) had the strongest association with family disability service use (prevalence ratio 5.50; 95% confidence interval 4.10–7.37). Associations with family disability service use were seen with mental health, health care, and educational achievement. Interactions between child characteristics and service use were observed. Interpretation This study provides evidence that families were more likely to use disability services when they were involved with other services, and that use interacts with various factors. The findings highlight the importance of considering service eligibility, referral, and integration.

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Section: Eligibilitymentioning

confidence: 99%

Use of family disability service by families with young children with disabilities

Russell

Cui

Tough

et al. 2020

Develop Med Child Neuro

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“…Therefore, early childhood development is closely related to a child's later health and wellbeing (Lu et al, 2016). Both developmental delays and chronic health conditions increase health service utilization (e.g., hospitalization, and visits to physicians) (Arim et al, 2017;Gallaher et al, 2002;Russell et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Long-Term Effect of Having a Child at Risk of Developmental Delays on Parental Labor Force Participation

Hu,

Callander

2024

Matern Child Health J

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Objective This study aimed to examine the long-term influence of having a child at risk of different developmental delays (communication, mobility, self-care, relating, learning, coping, or behaving) on parental labor force participation as the child grows. Method A retrospective cohort was conducted using data from the Longitudinal Study of Australian Children survey, Waves 1–8 covering birth to 15 years of age of children. Multivariable logistic regressions were used to explore the odds ratio of mothers being out of the labor force at different children’s ages. Cox proportional hazards models were utilized to identify the ‘risk’ of mothers returning to the workforce after leaving. All models were adjusted for the mother’s age, education attainment, and employment status at time of birth, as well as marital status at the current wave. Results There were 5,107 records of children, and 266 of them were at risk of any developmental delays at age 4–5 years. This sample represents 243, 026 children born in Australia in 2003/04. After adjusting for potential confounders, mothers of children at risk of each type of developmental delay (except mobility and self-care) had greater odds of being out of, and not returning to the labor force from children aged 2–3 to 14–15 years, when compared to mothers of children who are not at risk of developmental delays. Similar differences were found for fathers but were distinctly small and with narrower fluctuations, compared to mothers. Conclusion Policies and programs funded by the government are greatly needed to support the mothers of children at risk of developmental delays.

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“…The prevalence of suspected DD for ECDI for Nepal was 35.1% among children aged 36–59 months [ 14 ]. Healthcare costs associated with children who are at risk of delayed development have been found to be higher than those who are not at risk [ 15 ]. A follow-up study found that the majority of the children who were identified to be developmentally delayed at 3 years of age were either under or unemployed, living along with family and financially dependent upon their families and socially isolated [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Developmental delay and its associated factors among children under five years in urban slums of Nepal

et al. 2022

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Introduction Children from low-resource settings are more likely to encounter those factors that adversely influence their ability to acquire developmental potential. This study was conducted to assess the developmental status and its associated factors among children under five years of slum areas of Butwal Sub Metropolitan City, Rupandehi, Nepal. Methods and findings We conducted a community-based cross-sectional descriptive study using Developmental Milestone Chart (DMC) among 165 children under five years. Ethical approval was obtained from Ethical Review Board of Nepal Health Research Council. R software was used for data analysis. The association between developmental status and associated factors were examined with Chi-square and followed by logistic regression. Notably, more than half of the children (56.4%) had delayed development across two or more domains of gross motor, fine motor, language/ speech, and social development. Age, sex, socio-economic status, availability of learning materials, the occurrence of infectious diseases, and height-for-age of children were found to be significantly associated with the developmental status of children under study (p<0.05). Conclusions More than half of the children taken under the study had delayed development on different four domains. Findings from the study suggest that there should be similar studies conducted among children living in slum-like conditions. Additionally, programs should be designed as such which aims to mitigate the effect of socio-economic status on child development and has learning and nutritional aspects embedded central to its deliverance.

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Health care service for families with children at early risk of developmental delay: an All Our Families cohort study

Cited by 6 publications

References 23 publications

Use of family disability service by families with young children with disabilities

Use of family disability service by families with young children with disabilities

Long-Term Effect of Having a Child at Risk of Developmental Delays on Parental Labor Force Participation

Developmental delay and its associated factors among children under five years in urban slums of Nepal

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